Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 235373

Heartwood Lodge Trinity Health

37 federal citations on record , and 1 federal enforcement actions totaling $0.

Record summary

Federal record · Q1 2026
37
Total citations
37
Last 3 years
1
Actual harm+
1
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care9 Care Planning8 Resident Rights6 Medication & Pharmacy5 Infection Control4

Most common F-tags at this facility

F8803 F6843 F7613 F8422 F6092

Citation history

37 on record
SurveyF-TagViolationSeveritySource
Aug 26, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jun 13, 2025F881Implement a program that monitors antibiotic use.FStandard
Jun 13, 2025F880Provide and implement an infection prevention and control program.FStandard
Jun 13, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Jun 13, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Jun 13, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 13, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Jun 13, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Jun 13, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Jun 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jun 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jun 13, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 13, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jun 13, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Jun 13, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Jun 13, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Jun 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jun 13, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jun 13, 2025F558Reasonably accommodate the needs and preferences of each resident.EStandard
Jun 13, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Jun 13, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Apr 23, 2025F880Provide and implement an infection prevention and control program.EComplaint
Apr 23, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Oct 29, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 27, 2024F880Provide and implement an infection prevention and control program.EStandard
Jun 27, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 27, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Jun 27, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jun 27, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jun 27, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Jun 27, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 27, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 27, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jun 29, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Jun 29, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 0 civil money penalties totaling $0 and 1 payment-denial actions spanning 19 days.

DateTypeFinePayment denial
Apr 23, 2025Payment Denial—Jul 11, 2025 · 19 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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